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Jack D. Summerlin, D.D.S.

General Dentistry · Indianapolis, IN

UnclaimedD.D.S.NPI 1902053200
Primary taxonomy
122300000X
Enumerated
2008-08-19
Practice location
Indianapolis, IN
Last NPPES update
2020-12-28

State licenses

  • IN · Dentist · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.